Reimbursement for the cost of compression therapy for the management of venous leg ulcers in Australia

Pacella, Rosana; Tulleners, Ruth; McCosker, Laura; Cheng, Qinglu; Harding, Keith; Edwards, Helen; Yelland, Stephen; Dyer, Anthony; McGuiness, William; Graves, Nicholas

doi:10.1111/iwj.13152

Cited by 6 publications

(7 citation statements)

References 12 publications

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“…Total costs for venous ulcer management including hospitalisation, outpatient and emergency department visits, home health care and prescribed drugs were estimated to be approximately 15 billion USD (United States dollar) in the United States and 1.94 billion GBP (Great Britain pounds) in the United Kingdom annually 37,38 . Treatment costs for non‐healing wounds were calculated to be almost 2.5 times higher than those for healed wounds within 1 year 38,39 . These numbers demonstrate the global economic burden of CLUs and underlines the importance of adequate wound care and complete wound closure at an early stage 40 …”

Section: Discussionmentioning

confidence: 99%

“…37,38 Treatment costs for non-healing wounds were calculated to be almost 2.5 times higher than those for healed wounds within 1 year. 38,39 These numbers demonstrate the global economic burden of CLUs and underlines the importance of adequate wound care and complete wound closure at an early stage. 40 Besides the economic standpoint, CLUs with its adverse sequelae including the amputation of the limb constitute a huge personal burden.…”

Section: Discussionmentioning

confidence: 99%

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Limb salvage procedure in immunocompromised patients with therapy‐resistant leg ulcers—The value of ultra‐radical debridement and instillation negative‐pressure wound therapy

Geierlehner

Horch

Müller‐Seubert

et al. 2020

International Wound Journal

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The purpose of this study was to analyse the outcome of our established triple treatment strategy in therapy‐resistant deep‐thickness chronic lower leg ulcers. This limb salvage approach consists of ultra‐radical surgical debridement, negative‐pressure wound therapy (NPWT) with or without instillation, and split‐thickness skin grafting. Between March 2003 and December 2019, a total of 16 patients and 24 severe cases of lower leg ulcers were eligible for inclusion in this highly selective population. A total of seven patients received immunosuppressive medication. Complete wound closure was achieved in 25% and almost 90% of included lower leg ulcer cases after 3 and 24 months of our triple treatment strategy, respectively. The overall limb salvage rate was 100%. Bacterial colonisation of these wounds was significantly reduced after multiple surgical debridements and NPWT. Fasciotomy and radical removal of devitalised tissue such as deep fascia, tendons, and muscles combined with NPWT showed promising results in terms of the overall graft take rate. This treatment strategy was considered as last resort for limb salvage in such a critically ill and immunocompromised patient population. Surgeons should be aware of its efficacy and consider the triple treatment strategy especially if no other limb salvage option remains.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Limb salvage procedure in immunocompromised patients with therapy‐resistant leg ulcers—The value of ultra‐radical debridement and instillation negative‐pressure wound therapy

Geierlehner

Horch

Müller‐Seubert

et al. 2020

International Wound Journal

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“…2 They affect 1-1.5% of the population and have an estimated yearly economic burden greater than $1 billion in Australia. 2,3 Chronic ulcers (more than three months) persist despite treatment, remaining in an inflammatory state driven by the presence of a biofilm. 2,4 CASE CONTINUED Doppler ultrasound showed no evidence of new DVT and, clinically, the patient was not in heart failure.…”

Section: Answermentioning

confidence: 99%

The non-healing leg ulcer: A logical approach

Kelly,

Bingley,

Muir

2024

Aust J Gen Pract

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A woman, aged 75 years, presented with recurrent lower limb ulcers spanning three decades and bilateral lower limb swelling (Figure 1). Past medical history included deep vein thrombosis (DVT), type 2 diabetes, hypothyroidism, obesity, chronic back pain, osteoarthritis and depression. The woman was homebound and socially isolated but mobilised with a four-wheeled walker. The patient was admitted to hospital for management following unsuccessful treatment in the community with home nurse visits under general practitioner supervision. QUESTION 1What is the primary diagnosis?QUESTION 2

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“…Thus, there is a significant need for research to identify effective strategies to assess, manage and prevent chronic wounds across all health settings. In Australia, there is clear evidence that chronic wounds significantly impact healthcare expenditure and healthrelated quality of life (HRQoL) for persons with wounds 2,[6][7][8] . To optimise effective care of chronic wounds, it is important to have a sound understanding of, and access to, available research evidence.…”

Section: Introductionmentioning

confidence: 99%

Assessment, management and prevention of chronic wounds in the Australian context: a scoping review

Bui,

Tehan,

BarakatJohnson

et al. 2023

WPR

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Aims To identify the current research on assessment, management and prevention of chronic wounds in Australia and within the global context.Methods Electronic databases, trial registries and professional organisation websites were searched from 1 January 2010 to 31 May 2022. All original human research studies on chronic wounds conducted in Australia and reviews (systematic reviews (SRs), evidence-based guidelines (EBGs), evidence summaries, consensus documents) conducted worldwide were included. Results were tabulated and synthesised in a narrative review. ResultsOverall, 365 Australian studies and 569 worldwide reviews were included. The designs of Australian studies were mostly cohort (31%) or cross-sectional (20%), with a few randomised trials (10%). Australian studies were mostly concentrated on wound management (43%) or assessment (40%), and only 17% on prevention; this profile was similar for worldwide reviews. The chronic wound types focused on in Australian studies were 43% pressure injuries (PIs), 27% diabetes-related foot ulcers (DFUs), 16% venous leg ulcers (VLUs), 8% mixed chronic wounds, 6% mixed leg/foot ulcers, <1% fungating wounds.Conclusions This review found Australian chronic wound research focused on PIs and DFUs, with few randomised trials (10%), which is likely related to the lack of national competitive funding and difficulties in infrastructure support for adequately powered trials.

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Reimbursement for the cost of compression therapy for the management of venous leg ulcers in Australia

Cited by 6 publications

References 12 publications

Limb salvage procedure in immunocompromised patients with therapy‐resistant leg ulcers—The value of ultra‐radical debridement and instillation negative‐pressure wound therapy

Limb salvage procedure in immunocompromised patients with therapy‐resistant leg ulcers—The value of ultra‐radical debridement and instillation negative‐pressure wound therapy

The non-healing leg ulcer: A logical approach

Assessment, management and prevention of chronic wounds in the Australian context: a scoping review

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